Focus on Medicare and Managed Medicaid programs
Wipro Limited has formed a global strategic partnership with Southern Oregon’s PLEXIS Healthcare Systems which will enable a streamlined, efficient, accurate and integrated plan administration solution to support healthcare payers and plan sponsors worldwide.
The aim is to offer secure, compliant, high-value, end-to-end “digital first” plan administration solutions at a cost-effective price point along with enhanced customer experience.
The partnership will initially focus on supporting Medicare and Managed Medicaid programs, but will expand to support Accountable Care Act and commercial lines of business, said a release on 13 Mar 2020.
At its core, Wipro’s Medicare platforms will combine with PLEXIS’ healthcare payer claims and care management platforms, to deliver a state-of-the-art technology backbone.
This will enable Wipro to deliver world class Business Process as-a-Service (BPaaS) for efficient and effective management of the entire value chain including enrollment processing with Centre for Medicare and Medicaid Services (CMS) member billing, fulfillment, care management, claims processing and Encounter Data Processing to CMS.
Wipro-PLEXIS partnership will provide Medicare and Medicaid plans, a CMS compliant, easy and affordable turnkey option, with focus on member satisfaction, improved care outcomes, data collaboration and reduced administrative costs.
Jorge Yant, PLEXIS Healthcare Systems President and CEO said, “The healthcare market is going through a major digital transformation. Operating an intelligent back office is instrumental to increase productivity, revenue and quality and optimized technology to enable intelligent operations will be the key to transform the payer enterprise. Partnering with Wipro will allow us to deliver the very best combination of secure, compliant, on-demand software to unlock the full potential of digital transformation and place our clients on the best path for success.”
Mohd Haque, Wipro Sr. Vice President and Global Head of the Healthcare Business Unit, said, “With technology playing an increasing role in every aspect of global healthcare services delivery, healthcare payers recognize the need to accelerate the development of integrated, cost-effective digital solutions to ensure they remain on the competitive vanguard.
“The Wipro-PLEXIS partnership brings together deep domain expertise in payer software and business process and technology strategy to support healthcare payers through successful digital transformations.”
PLEXIS Healthcare Systems is a leading payer technology company that delivers trusted enterprise core administration and claims management solutions to healthcare payers and delivery systems around the globe.
Based in Southern Oregon, PLEXIS currently serves organizations in 44 states (doing business in all 50), 15 countries, and over 70 million people worldwide. fiinews.com
